Skin Incisions for Port Sites

Intraumbilical or infraumbilical incisions are made depending on the anatomy of the umbilicus. I use two additional trocars: a 10/12-mm disposable port with reducer in the right and left lower quadrants lateral to the inferior epigastric vessels (Figure 6-6.1).3 Trocars are placed lateral to the rectus muscle, approximately 3 cm medial to and above the anterior superior iliac spine. A recent anatomic investigation by Whiteside et al.4 at our institution revealed that the accessory ports should be placed at least 2 cm above the anterior superior iliac spine to avoid iliohypogastric or ilioinguinal nerve entrapment or injury. An additional 5mm port may be placed on the principal surgeon's side so that he or she can operate with two hands. Both reusable and disposable ports may be secured with circumferential screws to prevent port slippage.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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